NDC codes

FDA NDC Directory
Product NDC (as listed)11822-3024Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-3024Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
11822-3024-41182230240411822302404473 mL in 1 BOTTLE, PLASTIC (11822-3024-4)Marketed from Dec 2, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Oral Sore Antiseptic
Generic name (nonproprietary)
hydrogen peroxide, menthol
Active ingredients
Hydrogen peroxide — 1.5 mg/mLMenthol — 1 mg/mL
Dosage form
Liquid
Route
Oral
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication 505G(a)(3)
Marketing start
Listing expires
Identifiers
Product ID 11822-3024_499edc10-3e99-6a7b-e063-6394a90a0feeSPL ID 499edc10-3e99-6a7b-e063-6394a90a0feeSPL set ID e67046ce-bfe0-4454-bbe8-6a3783afb6f5UNII BBX060AN9V, L7T10EIP3A

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N411822302404 followed by a unit qualifier and the quantity

Package 11822-3024-04. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

uses first aid to help protect against bacterial contamination in minor oral wounds for temporary pain relief and temporary use in cleansing minor wounds or minor gum inflammation resulting from: minor dental procedures dentures orthodontic appliances accidental injury other irritations of the mouth and gums canker sores aids in the removal of: phlegm mucus other secretions associated with occasional sore mouth

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-3024

What is NDC 11822-3024?
11822-3024 is the product NDC for Oral Sore Antiseptic, Hydrogen peroxide 1.5 mg/mL; Menthol 1 mg/mL liquid, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oral Sore Antiseptic (Hydrogen Peroxide, Menthol).
What is the active ingredient?
Hydrogen peroxide, Menthol.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Oral Sore Antiseptic?
3 other product NDCs are listed under this name. See all Oral Sore Antiseptic NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Oral Sore Antiseptic NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 15 mg/mL; Menthol 1 mg/mLLiquidOralRetail Business Services, LLC72476-02472476-0024-43
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 1.5 mg/mL; Menthol 1 mg/mLLiquidOralWalgreen Co.0363-104500363-1045-43
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 15 mg/mL; Menthol 1 mg/mLLiquidOralH E B37808-02437808-0024-43

Other NDCs under 505G(a)(3)

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under 505G(a)(3)
ProductStrengthForm · routeLabelerProduct NDC
Pretty Pump Hand SanitizeralcoholAlcohol 600 mL/LSprayTopicalWhisk Products, Inc.65585-489
Protec Hand Sani Gel AntibacterialalcoholAlcohol .7 mL/mLGelTopicalDegasa, S.A. de C.V.67326-006
Foaming Antibacterialbenzalkonium chlorideBenzalkonium chloride 1.3 g/1000mLSolutionTopicalSam's West, Inc.68196-667
Smart Care TEA and TIMBER HAND SANITIZERethyl alcoholAlcohol 70 mL/100mLSprayTopicalAshtel Studios, Inc.70108-199
B-Pure Moisturizing Hand Sanitizer Warm Cashmere ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-217
VQ Hydrating Hand Sanitizer Frosted Candy ApplealcoholAlcohol 67.5 mL/100mLLiquidTopicalTychea Co.85980-024
BCBG GENERATION HAND SANITIZER DUO - WILD Cherry AND Mango Cherry SCENTethyl alcohol—KitDiamond Life Cosmetics Trading FZCO87247-933
Anti Bacterial Hand Gel GinghamalcoholAlcohol 71 mL/100mLGelTopicalBath & Body Works, Inc.62670-6641
Anti Bacterial Hand Gel Disney Villains Evil QueenalcoholAlcohol 71 mL/100mLGelTopicalBath & Body Works, Inc.62670-6919
Povidone-Iodine Prep Winged Sterile Largepovidone-iodinePovidone-iodine 100 mg/gSpongeTopicalCardinal Health 200, Inc63517-759
Smart-San Hand Sanitizer FoamalcoholAlcohol 74 mL/100mLLiquidTopicalBest Sanitizers, Inc.59900-352
BZK Antiseptic Towelette Sterilebenzalkonium chlorideBenzalkonium chloride 1.3 mg/gClothTopicalJianerkang Medical Co., Ltd34645-0018
Lavender Hand Sanitizing WipesethanolAlcohol 65 mL/100mLClothTopicalWhole Foods Market, Inc.42681-6810
Pacific Blue ultra Antimicrobial Foam Fragrance Freebenzalkonium chlorideBenzalkonium chloride .13 g/100mLSolutionTopicalGeorgia-Pacific Consumer Products54622-316
Zylast Antiseptic Sethyl alcoholAlcohol 760 mL/1000mLLiquidTopicalInnovative BioDefense57362-466
WhiskCare 375alcoholAlcohol 600 mL/LGelTopicalWhisk Products, Inc.65585-375
GuruNanda Healthy Gumscetylpyridinium chlorideCetylpyridinium chloride 1 mg/mLMouthwashOralGURUNANDA, LLC70708-926
Smart Care SWEET AND STILL HAND SANITIZERethyl alcoholAlcohol 70 mL/100mLSprayTopicalAshtel Studios, Inc.70108-192
B-Pure Moisturizing Hand Sanitizer Midnight Freesia ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-214
RootStim Minoxidil Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLLiquidTopicalYITONGBADA (SHENZHEN) INTERNATIONAL TRADE CO., LTD83364-025

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